Grafting for Implant supported complete overdenture?

For most of the cases that I see where a maxillary complete overdenture has been planned, there is insufficient bone height and volume in the anterior region, especially around the canine and lateral incisor area, and usually involves bone augmentation.  In the posterior, a sinus lift and graft is often required.  One of the problems that is difficult to overcome is that during the healing phase of anterior bone augmentation, the patient may not be able to wear a complete denture without endangering the healing of the anterior graft.  The healing phase may last several months.  I have heard one approach of placing the posterior implants first and using those to stabilize an overdenture with no anterior flange.  Any feedback on this issue? How do you approach this problem?  Any way for the patient to wear a complete denture or overdenture while the anterior graft is healing?  Any training courses available that teach how to manage cases like this?

4 thoughts on “Grafting for Implant supported complete overdenture?

  1. Alfonso D says:

    The way I have approached this situation in the past is to relieve the denture flange as needed after the bone grafting procedure so it is not impinging on the surgical site and then place a soft liner .

  2. Pankaj Narkhede DDS MDS says:

    The approach of placing the posterior implants first and using those to stabilize an overdenture with no anterior flange is the way to do it. Patient is thoroughly explained about the plan of action. Secondly use transitional implants / mini implants temporarily to attach the denture. I don’t know any training courses but if you need any help u may contact me. I have used mucosal implants for denture retention before mini implants were introduced.

    • Roger Gomez says:

      Hi Dr Narkhede
      This is Dr Gomez fr Sydney
      I routinely use either standard or minis . However I haven’t used mucosas implants. Could you pass any clinical information or suppliers or courses provided?
      regards
      Roger Gomez
      Sydney
      Australia

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